Rep. Jim Costa Stands Up for Reedley, Valley Clinics Amidst Medicaid Cuts

July 28, 2025 Press Release REEDLEY, Calif. - Congressman Jim Costa (CA-21) visited Adventist Health in Reedley to sound the alarm on the impacts of Medicaid cuts in President Trump’s ‘ One Big-Ugly Bill .’ Joined by health care workers and leaders, Costa warned that these cuts would cripple local clinics, overwhelm emergency rooms, and make it harder for everyone, not just those on Medicaid (Medi-Cal), to access basic care. “Valley families rely on local hospitals like Adventist Health to keep their kids healthy, care for aging parents, and respond in an emergency. I’ve heard directly from doctors and nurses at Adventist Health that they’re already stretched thin,” said Congressman Costa. “Even if you’re not on Medicaid (Medi-Cal), you’ll feel this. When clinics lose funding, emergency rooms get crowded, staffing shortages, and your insurance premiums go up. We need solutions, not devastating cuts that leave our communities behind. BACKGROUND President Trump and Republicans enacted the “ One Big Beautiful Bill ,” more like the One Big Ugly Bill . Congressman Costa voted against the law, which slashes more than $1 trillion from Medicaid, Children’s Health Insurance Program (CHIP), Medicare, and the Affordable Care Act (ACA), the largest cuts in U.S. History. The Joint Economic Committee (JEC) found that 247,384 people in the San Joaquin Valley, spanning six congressional districts, will be left without Medicaid (Medi-Cal) health coverage. District # of Medicaid Recipients # of People losing Medicaid Coverage CA-05 246,709 27,686 CA-09 313,985 35,236 CA-13 419,133 47,036 CA-20 260,675 29,253 CA-21 456,532 51,233 CA-22 507,388 56,940 The American Hospital Association warns rural hospitals nationwide stand to lose $50.4 billion in federal Medicaid funding over the next decade. Medicaid payments to hospitals will be reduced by nearly $665 billion, an 18.2% reduction, according to an analysis by Manatt. On average, rural hospitals are slated to lose 21 cents out of every dollar they receive in Medicaid funding. Total cuts in Medicaid reimbursement for rural hospitals, including both federal and state funds over the ten years covered by the bill, would reach almost $70 billion for hospitals in rural areas. These cuts could result in layoffs, longer emergency room (ER) wait times, reduced services, and higher premiums. Issues : Healthcare Veterans